Basic Information
Provider Information
NPI: 1295778264
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCOTT
FirstName: JOHN
MiddleName: SWITZER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3712 CALVEND LN
Address2:  
City: KENSINGTON
State: MD
PostalCode: 208953112
CountryCode: US
TelephoneNumber: 3019330406
FaxNumber:  
Practice Location
Address1: WALTER REED ARMY MEDICAL CENTER, DEPT. OF PEDIATRI
Address2: 6900 GEORGIA AVENUE
City: WASHINGTON
State: DC
PostalCode: 203070001
CountryCode: US
TelephoneNumber: 2027826107
FaxNumber: 2027829364
Other Information
ProviderEnumerationDate: 06/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0202XMD047883LPAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


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